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Tackling Glaucoma: Time to Raise Awareness Among Eye Care Workers

Addressing the critical issue of glaucoma awareness within eye care workers worldwide, emphasizing the prevalence and impact of untreated cases. Highlighting the importance of knowledge, diagnosis, compliance, and progression to prevent irreversible blindness. Advocating for increased counseling and motivation to improve patient outcomes. Helpful insights from relevant studies provided.

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Tackling Glaucoma: Time to Raise Awareness Among Eye Care Workers

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  1. Tell Them More! Dr. Muchai Gachago M.B.Ch.B. M.Med.(Ophthal). ICO. FEACO

  2. Hmmmm… • What to tell eye care workers that they don’t already know?

  3. Tonnes of glaucoma!!!1 • 65m (2002) • 80m(2020) • Bilaterally Blind 8.4m

  4. Lots untreated!!! • West: >50% undiagnosed. • India: 93% undiagnosed.2 • Africa: Afraid to imagine!!!

  5. This little % How are we handling it??? We can look at: • Knowledge status • State at presentation • Compliance • Progression of the condition

  6. This little % How are we handling it??? We can look at: • Knowledge status • State at presentation • Compliance • Progression of the condition

  7. Knowledge status • Source: Eye care worker - 90% • Name the condition: • 60% • 7% something close.

  8. Big 3 in glaucoma!!! • Optic Neuropathy: • Raised IOP: • VF loss:

  9. Big 3 in glaucoma!!! • Optic Neuropathy: 20% • Raised IOP: • VF loss:

  10. Big 3 in glaucoma!!! • Optic Neuropathy: 20% • Raised IOP: 40% • VF loss:

  11. Big 3 in glaucoma!!! • Optic Neuropathy: 20% • Raised IOP: 40% • VF loss: 10%

  12. Beyond the big 3!!! • Blinding 75% • Permanent 65%

  13. Expectations

  14. Knowledge & Motivation • ↑knowledge → ↑motivation & adherence3

  15. What to do? • Spend a little more time talking. Only 18% had been counseled. Start thinking of ways to reach the other 95%

  16. THANK YOU!!

  17. References • Resnikoff S, et al. Bulleting of the World Health Organization 2002 pg 844-851. • SannapaneniK, et al. Awareness of glaucoma in the rural population of Southern India. Indian J. Ophthalmol 2005; 53: 205-208. • Cook PF, Bremer RW, Ayala AJ, Kahook MY. Feasibility of motivational interviewing delivered by a glaucoma educator to improve medication adherence. Clinical Ophthalmology 2010; 4: 1091–1101.

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